deep vein thrombosis

Question 1

What are typical signs of DVT?

Answer 1

-Unilateral localised
-Pain(usually throbbing)
-tenderness
-skin changes, oedema, redness and warmth
-vein distension

Question 2

How would you assess DVT?

Answer 2

Two-level DVT Wells score
If likely to have DVT- offer Proximal leg vein Ultrasound

then D-dimer test

Interim therapeutic anticoagulation

Question 3

What interim anticoagulant is used if needed for DVT?

Answer 3

Apixiban or rivaroxaban first line

if unsuitable:
LMWH for at least 5 days followed by dabigatran or edoxaban

Or
LMWH with warfarin concurrently

Question 4

What are monitoring requirements for people on anticoagulant therapy ?

Answer 4

FBC
Renal
Hepatic function
Prothrombin time
APTT

Question 5

DVT
How should patients on anticoagulants be followed up after acute treatment?

Answer 5

Maintenance treatment with oral anticoagulant usually for at least 3 months depending on if it was unprovoked.